"Auntie, I heard Qiqige say that you are not feeling well?"

Li Maoyang asked Qiqige's mother-in-law again.

This sentence is actually somewhat nonsense.

However, Li Maoyang mainly wanted to hear the old woman's voice again.

Just now he listened to the old woman's breath and was weak, it was obvious that he was lacking in qi, and he wanted to make sure again.

In the four consultations, the three consultations are actually a simultaneous process, in which the patient's body, face and expression are observed, and the patient's voice characteristics are also listened to, and the smell in the patient's mouth and body is also smelled.

The old woman nodded slightly and did not speak.

"Let's go, let's go inside."

Qiqige picked up her son and said to Li Maoyang, while reaching out to help her mother-in-law.

After entering the house and sitting on the sofa, Qiqige poured Li Maoyang a cup of milk tea, and then sat on the sofa as well, and the three of them faced each other, which was considered to be officially entering the diagnostic procedure.

To be honest, Li Maoyang was a little panicked at this time.

After only following the teacher for more than a year, he lost his master, which made him feel so sad.

Fortunately, he still has the Qihuang system in his mind, which can be relied on, otherwise with his current level, it would be purely a blind dog looking at the stars.

For example, up to this point, he didn't see much to diagnose from Granny Kikige.

The old man's face was a little pale, as if there was no blood.

However, Li Maoyang can't be sure.

"Constant balance, seeing the subtleties, and thinking about the inside" are the three principles of TCM diagnosis, but who knows what the old man's usual face is?

What if the old man usually stays in the house and has always been so pale and pale?

Then it is not easy to judge that the old man is a big loss of qi and blood at this time.

Speaking of smelling the diagnosis, Li Maoyang also heard that the old woman was a little weak at this time, and he didn't hear any other abnormalities in her voice.

Sniffing also included sniffing, but he didn't smell anything unusual from the old woman's body and mouth.

Let's take a look at the old man's tongue first.

Tongue examination is also part of the visit.

Li Maoyang thought like this and said to the old woman: "Auntie, you stick out your tongue and let me take a look." ”

A suspicious gaze passed through the old woman's eye sockets, and she turned her head to look at her daughter-in-law Qiqige, and when she saw Qiqige nodding, she opened her mouth and stuck out her tongue.

Li Maoyang hurriedly stretched his neck and approached to observe.

Is this tongue pale?

He stared nervously at the old man's tongue.

A normal person's tongue should be pale red tongue with thin white moss.

This standard is easy to remember, but the key is to judge it specifically, how to count it as a light red? How pale red is light red? How to count a thin white, how thin white is a thin white?

It's not easy to identify, it's all vague concepts, and there is no clear and definite line, and the judgment has to be combined with the usual situation of the patient.

Li Maoyang complained like this in his heart, and quickly concentrated his energy to judge again, the old man was already a little sleepy with his tongue sticking out, and it was impossible to stretch it out for a long time to make him hesitate.

Well, even if it's a pale tongue.

I feel that the tongue of the old man really doesn't have much blood, this shouldn't belong to the tongue of a healthy person, and this moss should be considered white, not thin white, right? Of course, it should not have reached the level of white greasy.

Li Maoyang thought like this, calmed down, and his eyes rolled back slightly, and said to the Qihuang system in his mind: "The patient's tongue is pale and pale, and according to this, it should be a deficiency of spleen and qi and blood. ”

"The host diagnosis is basically correct, and you will be rewarded with a drug efficacy deduction in this system!" Immediately, a mechanical voice sounded in my head, and it sounded much softer.

Of course, it may also be Li Maoyang's own delusion.

At this time, he was in a good mood, and naturally he heard any sound good.

But he hastened to warn himself to be cautious and keep up his efforts, a chance to deduce the system may not necessarily allow him to use the right medicine on the patient.

Next is the consultation.

Before the consultation, Li Maoyang recited the consultation song silently in his heart.

One asks about cold and heat, two questions about sweat, three questions about the head and body, four questions about the bowel and bowel, five questions about diet, six questions about the chest and abdomen, seven questions about deafness and eight thirst, nine questions about old diseases and ten questions about the causes, and then taking medicine and participating in the machine change. Women in particular must ask about menstruation, and it can be seen that the delay will collapse. Add another piece of language to tell pediatrics, smallpox and measles are all tested.

Well, there is no need to ask about menstruation here, after all, this old man is already in his sixties.

"Auntie, are you afraid of the cold?"

Li Maoyang began to ask in the order of the songs.

Otherwise, he was afraid that he would forget to ask which one.

At the same time, he quickly took out his mobile phone and opened his own medical record file in WPS to prepare for the record.

"I'm afraid of the cold, don't you see my mother-in-law dressed so thickly?" Kikige said on the side.

While secretly rolling his eyes, he thought to himself that he was stupid, do you still need to ask?

"So, are you sweating?" Li Maoyang didn't care about Qiqige's expression, and continued to ask.

"Come out, I'll be sweating after a while, and I'm so hot that I want to take off two clothes, but I won't let her take them off." Kikige said again.

Li Maoyang suddenly felt confused, what is the situation? Are you afraid of the cold, but you still feel hot, and you often sweat?

He originally asked in the order of the song, but he didn't expect to ask such a strange phenomenon!

Oh my aunt, what's going on?

Li Maoyang's head grew for a while, and he wondered if this was Qiqige playing tricks on him, an unemployed recruit in the medical field?

Glancing up at Kikige, she found that she was not playing tricks on her face, and she couldn't have played tricks on her mother-in-law's illness.

"Do you have a headache?" Li Maoyang could only continue to ask, "Qiqige, don't say it, I want to hear the old man say it himself." ”

He was afraid that what Qiqige said would not be accurate, and at the same time, he wanted to hear the old man's voice again.

"It hurts...... the old man touched his head weakly.

His voice was still faint, as if he couldn't lift his voice.

She said "Sai, Sai" in the courtyard earlier, but she couldn't raise the sound.

Lack of qi, Li Maoyang has been diagnosed with this this time.

Thinking like this, a flash of inspiration flashed in his mind, and he figured out the previous question a little!

The old man is yang deficiency, so he is afraid of cold, and the body surface is also weak, and he can't absorb the fluid, so he sweats a lot......

As for body heat......

Sweat is a fluid in the body, and sweating too much will inevitably hurt the yin, and if the yin is deficient, won't you feel hot?

So these symptoms seem contradictory, but they are dialectically unified in contradictions.

Next, under Li Maoyang's continuous questioning, he gradually wrote down a long list of symptoms in his medical case.

Lack of appetite, abdominal distention, fatigue, wheezing, body heat, sweating, headache and chills, frequent urination, and prolonged diarrhea......

Then a logical line gradually came out of his mind.

Lack of food and bloating---It means that the spleen and stomach are weak--so it leads to poor transportation of qi and blood--so the body is tired and weak, and the body is full of wheezing, headache and cold--so it is both yin and yang--yin and yang are deficient and the body is hot and sweaty, forming a vicious circle......

It's just that what is the reason for this long-term diarrhea and frequent urination?

was pulling the logical line, and such a question mark popped up in Li Maoyang's mind.

Frequent urination can also be said to be that yang deficiency cannot fix urine, so frequent urination, but what does this mean for a long time?

Li Maoyang realized that he may have missed something during the consultation, or he did not ask clearly and accurately, or it could be caused by the old man's unclear expression?

Hiding a traitor alone, what went wrong?

Li Maoyang thought hard.

It felt like there might be some mystery hidden in this, but he couldn't ask more about Kikige and the old man.

The two of them were already a little impatient.

Because Li Maoyang and his master never ask so many people when they see a doctor, they usually do a face and then look at the tongue, and then take the pulse, and then seem to ask a few words casually and then prescribe medicine.

After the drug is prescribed, the average patient's illness is cured within a few days.

Therefore, there are really many people from ten miles and eight towns who come to see his master.

Li Maoyang thinks about it now, his master may have been exhausted to death, or he might have lived to be 100 years old.

A few days before he died, he was still sick.

But Master's hands are too light, and he doesn't ask for consultation fees with others, and the patient can give as much as he wants.

Because of this, Master's old man has been poor all his life, so that his sons and grandsons are unwilling to study medicine with him.

It was also him, Li Maoyang, who dropped out of school before he even finished high school, really couldn't find a way out, so he followed the old man to study medicine, but after just following the study for more than a year, his old man drove to the west.

The world is too bitter, I hope his old man will live peacefully and happily in the west.